Individual
DR. DANIELLE RAE MACIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNPA
Contact information
Practice address
3029 W MAIN ST, JENKS, OK 74037-3465
(918) 701-2300
Mailing address
4350 S BRADEN AVE, TULSA, OK 74135-6316
(575) 491-4968
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1135821
TX
367500000X
Certified Registered Nurse Anesthetist
200683
OK
Other
Enumeration date
01/06/2021
Last updated
08/21/2024
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